波兰母亲感知到的压力,助产士的支持和纯母乳养之间的关系
Agnieszka Czerwińska-Osipiak1, Anna Weronika Szablewska1, Wiktoria Karasek1
1Department of Obstetric and Gynaecological Nursing, Institute of Nursing and Midwifery, Medical University of Gdańsk, Sklodowskiej Curie 3A, 80-210 Gdańsk, Poland.
Nutrients
|May 14, 2025
概括
高度的母体压力显著影响了波兰的纯母乳养 (EBF). 针对性的医疗支持对于经历压力的母亲来说至关重要,以提高EBF率并减少配方补充剂.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 哺乳期科学 哺乳期科学
背景情况:
- 哺乳为母亲和婴儿提供了显著的健康益处.
- 波兰的母乳养率很高 (97%),但纯母乳养 (EBF) 已大幅下降六个月 (4%).
- 影响EBF和持续母乳养障碍的因素需要调查,特别是关于医疗支持和母亲压力.
研究的目的:
- 确定与波兰妇女母乳养习惯相关的因素.
- 确定波兰母亲专用母乳养 (EBF) 的障碍.
- 评估医疗人员支持和母亲压力水平在母乳养结果中的作用.
主要方法:
- 一项涉及1092名波兰妇女的横截面观测研究 (STROBE合规).
- 通过计算机辅助网络采访 (CAWI) 方法从2023年1月到5月收集的数据.
- 使用后勤回归进行统计分析,以确定变量与母乳养结果之间的关联.
主要成果:
- 经历过高压力的女性接受了母乳养咨询 (OR=0.467) 和援助 (OR=0.424) 的女性,其引入配方奶粉的可能性较低.
- 低或中等压力水平没有显示支持因素和EBF停止之间存在显著的关联.
- 早期戒烟的主要原因包括乳腺健康,精神疲劳,缺乏医疗支持和婴儿困难.
结论:
- 有针对性的干预措施对于提高波兰母乳养率至关重要.
- 增加医疗人员的支持对于高压的母亲来说至关重要,她们的目标是独家母乳养.
- 解决母亲的压力和提供实际的母乳养援助对于改善EBF的可持续性至关重要.
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